Volunteer to Serve as Program Committee Vice Chair - Association of Academic Physiatrists

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Volunteer to Serve as Program Committee Vice Chair

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Program committee vice Chair application

The Program Committee Vice Chair will serve one year as Vice Chair. That will be followed by a two-year term as Program Committee Chair and a Board of Trustees Member.

____________________________________________________________________________________
First Name *
Last Name *
Institution *
Title *
Email Address *
Phone *

1. I am interested in volunteering to serve as the Program Committee Vice Chair..
Vice Chair term is for one year. Program Committee Chair (and Board Member) term is for two years.
Select one: *	Yes No
2. Please explain the relevant experience, knowledge and skills you possess.

Knowledge and skills: *	150 of 150 characters remaining
3. Please explain other association and industry involvement / leadership positions:

Industry involvement, Leadership *	150 of 150 characters remaining
4. Please give a brief statement of why you want to volunteer for Vice Chair::

Statement: *	150 of 150 characters remaining
5. Please submit a current copy of your CV: *

AAP's Mission

Creating the future of academic physiatry through mentorship, leadership, and discovery.

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Association of Academic Physiatrists
10461 Mill Run Circle, Suite 730
Owings Mills, MD 21117
P. 410.654.1000 F. 410.654.1001

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Program committee vice Chair application

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